Open Access
31 May 2017 Volume holographic imaging endoscopic design and construction techniques
Author Affiliations +
Abstract
A reflectance volume holographic imaging (VHI) endoscope has been designed for simultaneous in vivo imaging of surface and subsurface tissue structures. Prior utilization of VHI systems has been limited to ex vivo tissue imaging. The VHI system presented in this work is designed for laparoscopic use. It consists of a probe section that relays light from the tissue sample to a handheld unit that contains the VHI microscope. The probe section is constructed from gradient index (GRIN) lenses that form a 1:1 relay for image collection. The probe has an outer diameter of 3.8 mm and is capable of achieving 228.1  lp/mm resolution with 660-nm Kohler illumination. The handheld optical section operates with a magnification of 13.9 and a field of view of 390  μm×244  μm. System performance is assessed through imaging of 1951 USAF resolution targets and soft tissue samples. The system has also passed sterilization procedures required for surgical use and has been used in two laparoscopic surgical procedures.

1.

Introduction

Ovarian cancer is the predominant gynecological cancer in the United States with an estimated 14,240 deaths in 2016.1 The total number of new cases diagnosed in 2016 was estimated at 22,280. Only 15% of these were detected at an early (localized) stage due to lack of symptoms. The American Cancer Society states a 5-year survival rate of 92% when ovarian cancer is detected in the localized stage. However, the majority of new cases are detected at a later stage, leading to an overall survival rate of less than 46%. At this time, there is not an accurate screening method for early detection, which leads to many high-risk patients. Development of medical imaging devices capable of assisting in the early detection of cancer will increase the rate of early detection.

To be effective, imaging instruments should be non- or minimally invasive with high imaging resolution, have a simple, low cost design, and be robust enough to withstand the surgical sterilization processes, such as hydrogen peroxide gas plasma. Optical imaging systems are capable of providing imaging resolution that surpasses that of pelvic ultrasound systems, which are currently used for high-risk patient evaluation. Optical coherence tomography (OCT) imaging systems are capable of resolutions ranging from 2 to 20  μm with imaging depths between 1 and 2 mm.25 Confocal microscopy is capable of providing resolutions better than 1  μm with an imaging depth of a few hundred microns.68 Fluorescence imaging techniques are often employed for biomedical imaging to label suspect tissue regions and improve image contrast.911 Second harmonic generation imaging microscopy is an optical imaging modality capable of imaging live cells and tissues. This method utilizes high power laser light that interacts with the specimen and nanobiomarkers to generate second harmonic light.1214 Coherent Raman scattering microscopy consists of two types of techniques, stimulated Raman scattering and coherent anti-stokes Raman scattering. These methods allow for imaging of lower signal levels inherent to spontaneous Raman imaging and for vibrational imaging of living cells.15,16 Each of these methods requires a scanning technique to collect a three-dimensional image stack, which may not be able to be viewed simultaneously or requires postprocessing to incorporate each image. They also require relatively high power laser illumination, which adds to safety issues and cost.

Volume holographic imaging (VHI) is a technique capable of simultaneous imaging of multiple tissue surfaces through the use of a multiplexed volume holographic element that does not require mechanical scanning.1723 The number of simultaneous depth views is determined by the number of gratings being multiplexed into the holographic element, and reports of 2 to 5 depths have been reported using the multiplexing techniques.24 As an optical system that is capable of concurrent visualization of surface and subsurface tissue structures, the development of endoscopic VHI systems can assist in reducing the number of unnecessary surgical procedures, such as prophylactic oophorectomies. A benchtop version of the VHI has been shown to be a beneficial tool for ex vivo imaging evaluation of precancerous and cancerous tissues using reflectance and fluorescence imaging modalities.25 The contribution of this paper is the design, development, and characterization of a reflectance VHI endoscope system approved for in vivo clinical use.

2.

Ovary Imaging Requirements

It is suspected that irregularities in the epithelial layer of the ovary provide indications of early stage cancer.26 For clinical applications, the ability to view the surface of the epithelial layer and a layer 50 to 100  μm below the surface can provide clinicians important information of tissue abnormalities. Therefore, the system is optimized, so the image of the tissue surface and depth takes up half the aperture of the camera and determines the maximum field of view (FOV) of the system when one camera is used. For visualization of stained nuclei and microstructural features, such as blood vessels and abnormal cysts, an optical resolution of 2  μm is required and is used as the resolution requirement of the system.

The length and diameter of the endoscopic probe are critical design requirements. The probe should have a minimum length of 250 mm protruding from the handle segment to provide access to the ovary during laparoscopic procedures, and the probe diameter should be less than 5 mm to be compatible with standard surgical trocars. The FOV of the system should have a minimum size of 0.5 mm by 1 mm to allow for imaging of a suspect 5 mm square area in less than 1 min. A summary of the system requirements is listed in Table 1.

Table 1

Desired endoscope specifications for in vivo use.

Field of view0.5  mm×1  mm
Resolution2  μm
Length of endoscopic end>250  mm
Total endoscopic diameter<5  mm
Separation of image planes50  μm

3.

VHI System Design

The VHI endoscope was designed with commercially available optics and a custom multiplexed volume holographic element formed in a PQ-PMMA material.27,28 Since the VHI system will be used in a surgical setting, component weight and size were critical design factors. The handheld portion of the system was required to fit into a sterile sleeve and allow for easy assembly of the surgically sterilized endoscopic probe while in the operating room.

3.1.

Endoscope Optics

The endoscope probe section is designed as a rigid, unit magnification, optical relay to reimage in vivo tissue to the handle optics for magnified visualization. Several rigid endoscope designs were considered for this application, and a gradient index (GRIN) probe design was chosen to reduce the number of optical elements to minimize back reflection with common path lillumination.2933 The endoscope probe consists of three GRIN optical elements and two optical windows. GRIN optics are specified by their pitch parameter, which relates to the number of full sinusoidal periods of the light within the rod. The selected GRIN elements were obtained from GoFoton and have a pitch of 2 for the relay rod and 0.25 for the lenses.34 The two pitch relay optic was selected to accommodate the 250-mm minimum laparoscopic probe requirement since this optic has a length of 281.4 mm. The two GRIN lenses started with a 0.25-design that is designed to collimate the light from a point source. The lengths of the lenses were fabricated to accommodate the glass windows used in the system. The imaging lens has a length of 5.78 mm (0.204 pitch) to account for the 0.8-mm-thick N-BK7 window (3 mm diameter) used to provide separation between the GRIN lens and the patient. The coupling lens has a length of 5.72 mm (0.202 pitch), so the final image forms outside the 0.8-mm AR-coated window surface, leading an in-contact imaging approach with a working distance of 0. All three GRIN components have a diameter of 2.7 mm while the windows are 3 mm in diameter. These elements are shown in Fig. 1 and are labeled as follows from distal tip to proximal end: imaging lens (GoFoton ILW-2.70), relay lens (GoFoton SLR-2.70), and coupling lens (GoFoton ILW-2.70).

Fig. 1

Schematic of the endoscopic probe composed of GRIN lenses. Grin components have diameters of 2.7 mm, and the windows have a diameter of 3.0 mm. The theoretical optical path from an object placed in contact with the imaging lens, being relayed through the GRIN rod, and exiting to form an image outside the window on the coupling lens side is shown.

JBO_22_5_056010_f001.png

The components of the endoscope probe were assembled using EpoTek 301 epoxy with a refractive index of n=1.519, which provides a good index match for the optical components.35 EpoTek 301 is a nontoxic epoxy conforming with ISO 10993 biocompatibility testing requirements and was selected due to its good optical properties and ability to withstand sterilization procedures in hydrogen peroxide gas plasma systems.36 The clarity of the epoxy was verified through a series of sterilization runs on epoxy droplets placed between glass slides and GRIN lens components. The GRIN assembly of the endoscope probe is secured in an 11-gauge stainless steel hypodermic tube (MicroGroup). The hypodermic tube assists with GRIN rigidity and increases the outer diameter of the GRIN section to 3.05 mm, matching that of the window segments for better centering while placing the window components. The full window and GRIN assembly is then epoxied into a 9-gauge hypodermic tube, giving the probe a final outer diameter of 3.8 mm. The fully assembled probe is mounted onto an aluminum clamp and the threaded retaining section, as shown in Fig. 2.

Fig. 2

SolidWorks rendering of the endoscope assembly indicating the endoscope probe, fabricated clamp, and threaded retainer. The threaded retainer is threaded to match the 30 mm cage mounted components. This allows for quick connection to the handle section.

JBO_22_5_056010_f002.png

The GRIN lens parameters chosen for the design are not available in the optical design program lens database, so a full comprehensive optical software model has not been realized. The finalized design of the system made use of standard GRIN equations and theory combined with paraxial modeling using Gaussian beam parameters and ABCD matrices for on-axis light.37

3.2.

Handle Optics

The handheld elements are composed of standard 30-mm-width cage mounted components from ThorLabs.38 The preliminary design of the handle started with a simplified version of the benchtop model.25 Weight was minimized by a selective choice of components, while keeping pupil matching requirements. An optical model of the simplified system configuration is shown in Fig. 3. This initial model allowed for the miniaturization of the benchtop system and determination of the geometrical optics parameters for the system.

Fig. 3

ZEMAX schematic of the handle layout. The surface (solid blue) and depth (dashed green) images in the inset are shown to originate from on-axis positions in the object and are then displaced by the holographic element to fill two regions on the camera as indicated by text in at the camera plane. Spacing of the lens elements are provided in the dashed brackets.

JBO_22_5_056010_f003.png

The endoscope probe relays the image of the object to the focal plane of the microscope objective. The objective is an Olympus ULWD MSPlan 50× with NA=0.55 and a focal length of 3.6 mm. The desired magnification was chosen such that the Nyquist criterion is met, i.e., more than 2 pixels are used per resolvable point in object space. The camera is a Thorlabs DCC3240N with a 1280×1024  pixel array of 5.3  μm square pixels.38 To provide a system that will meet the Nyquist criterion while allowing for image degradation from aberrations, the smallest feature on a high resolution bar target with a width of 0.78  μm (1.55  μm per line pair) is used to set the magnification. For the system to satisfy the Nyquist criterion, the 0.78  μm line in object space will need to take 2 pixels on the camera (10.6  μm) and a magnification of 10.6/0.78=13.59. Since the focal length of the high NA objective lens is fixed, the camera lens is chosen through back calculation of the magnification equation, |fcamera|=|m*fobjective|, giving a camera lens focal length of 48.92 mm. A focal length of 50 mm was selected since it is a more common lens focal length and resulted in a system magnification of 13.9.

Light exiting the microscope objective enters a symmetric afocal relay of achromatic doublets (Thorlabs AC254-075-A, AC254-100-A). The relay was configured for 1:1 imaging to image the pupil of the microscope objective at the hologram plane, which allows the hologram to be the limiting aperture of the system and reduces beam overfill issues.18

The holograms used in the VHI system must provide high diffraction efficiency in a single diffraction order with high angular and wavelength selectivity. These characteristics can be achieved using volume holograms.39,40 To ensure that these characteristics are satisfied, the individual gratings in the multiplexed holograms are designed to have a volume Q parameter of Q=2πλdnΛ2  10, where Λ is the period of the volume grating, λ is the reconstruction wavelength, d is the thickness of the hologram, and n is the index of refraction.39 The hologram was fabricated in d=1.8  mm thick phenanthraquinone-doped poly methacrylate (PQ-PMMA), with a measured index of refraction of n=1.49. The grating periods for the surface and depth holograms are Λsurface=4586  nm and Λdepth=4760  nm and have Q parameters of 23817 and 22110. Since these values are well above the Q10 condition, volume holograms can be modeled using approximate coupled wave theory as described by Kogelnik.39

The resulting holograms have high diffraction efficiency, η, in a single diffraction order and high angular and wavelength selectivity. The diffraction efficiency for volume phase transmission holograms sed in the VHI system is given by η=sin2(ν2+ξ2)12  (1+ξ2ν2) (with ν=πn1dλcrcs;ξ=ϑd2cs).39 In these equations, cr=cos(θr) and cs=cos(θs), where θr and θs are the reconstruction and diffracted beam angles, respectively. The hologram angular and wavelength selectivity are determined from the detuning parameter ϑ2πΛ[Δθsin(ϕθo)Δλ2nΛ], where Δθ and Δλ are the angular and wavelength deviations, respectively, from the hologram Bragg condition that causes the diffraction efficiency to decrease to zero.

The multiplexed volume hologram was fabricated using the system shown in Fig. 4. The object beams are formed by focusing a collimated beam through a microscope objective to form a point source. The microscope objective is translated a distance of Δz between each exposure to sample light from a different tissue depth. A collimated reference beam is rotated to a different angle for exposure with each object beam to form a distinct grating within the multiplexed volume hologram.

Fig. 4

Recording geometry of the multiplexed hologram. The recording angle of the object beam, θobj, is constant at 33.4 deg for both recordings. The reference beam angle, θref, changes between 34.92 deg and 31.88 deg for the surface and depth, respectively.

JBO_22_5_056010_f004.png

The holograms were recorded with an Argon laser (Coherent Innova 300) at a wavelength of 514 nm and designed to operate at a wavelength of 660 nm light with an inter beam angle of 90 deg between the object and reference beams.41 The angles for object and reference beams with 514.5 nm light are determined from the K-vector or Bragg matching relation: K=krefkobj, where kref and kobj are the reference and object propagation vectors, respectively, and K is the grating vector that has a magnitude of 2πΛ. The object beams for both the surface and depth channel are at an angle of 33.4 deg in air relative to the normal to the hologram surface. The reference beam angles for the surface and depth channels are 34.92 deg and 31.88 deg, respectively.

Each hologram in the multiplexed element samples light from a different object depth in the tissue sample. For this system, light is sampled at the object surface and 50  μm below the surface. Both the surface and depth channels are recorded with curved wavefronts that have the total curvature split with equal but opposite directions of curvature for the two imaging depths. This recording configuration allows for the 50-μm separation, Δz, to be balanced between the two channels and provides equal amounts of induced hologram aberration that results from the difference between the recording and reconstruction wavelength (e.g., 514.5 nm for recording and 660 nm for reconstruction). The measured diffraction efficiencies for the multiplexed holographic elements, tested with 633-nm laser light, are 42% and 50% for the surface and depth holograms, respectively. The angular selectivity of the holograms is Δθ 0.02  deg, and the wavelength selectivity, Δλ<0.4  nm. Each hologram in the multiplexed element diffracts light at two angles separated by ΔΩ=34.92  deg to 31.88  deg=3.04  deg which are then collected by a camera lens (Thorlabs AC254-050). The lens images the diffracted light from each depth to the two rectangular areas at the camera plane. The surface and depth images each occupy half of the camera aperture (3.39×5.43  mm), corresponding to an FOV of 390  μm×244  μm after taking into account the system magnification of 13.9. A SolidWorks rendering of the handle system is shown in Fig. 5.

Fig. 5

SolidWorks rendering of handle component layout. (a) Top-down view demonstrating the layout of the lenses, hologram, and camera; (b) an isometric view indicating the location of the illumination path through the pellicle beam splitter cube.

JBO_22_5_056010_f005.png

3.3.

Light Source

The illumination for the system is provided by a 660-nm light-emitting diode (LED) with a full width half max spectral bandwidth of 20 nm. The VHI method is not as susceptible to speckle degradation as other methods such as OCT because VHI does not rely on sensing the coherent interference effects of the detected signal but instead simultaneously projects an image across many pixels of a camera aperture.42,43 The LED is coupled into a 600  μm, NA=0.39 core fiber (Thorlabs M29L05), which carries the light from the source box to the handle setup, as shown in Fig. 6. To achieve Köhler style illumination, a 10-mm focal length asphere (Thorlabs ACL1210) and a 50-mm achromat (Thorlabs AC127-050-A) are placed after the fiber output to expand the beam to a size of 4 mm to match the microscope objective pupil. The source is placed into the main beam path using a pellicle beam splitter component with 50:50 R/T at 635 nm (Thorlabs CM1-BP150). With this setup, light exiting the microscope objective and entering the endoscope assembly has a planar wavefront in a common path configuration to simplify the design.

Fig. 6

Illumination diagram showing the LED-fiber coupling and the fiber-lens coupling setup representing the expansion of the fiber to fill the microscope objective pupil.

JBO_22_5_056010_f006.png

4.

System Performance

The resolution of the handle optics without the hologram and endoscope probe was evaluated to be 645.08  lp/mm with a 1951 USAF resolution target. The resolution was measured before and after sterilization with a low-temperature hydrogen peroxide gas and was found to have the same image value. The results shown in Fig. 7(a) are used as a reference to determine system performance as the hologram and endoscope probe are added to the system. The probe assembly is aligned to the handle objective using an XY slip plate and Z-axis micrometers. The best focus location for the probe is determined by index matching the USAF resolution chart to the probe using water as an index matching fluid. Once the surface focus is achieved, the slip plate is locked down to the cage plate using set screws. Figures 7(b) and 7(c) show the group 7 region of the USAF resolution chart with the surface channel and depth channel in focus, respectively. The focus of the depth channel was determined by moving the target 50  μm past the focus of the surface image. As shown in Figs. 7(b) and 7(c), the smallest resolvable bar target is group 7, element 6, corresponding to 228  lp/mm or 4.4  μm per line pair for both the surface and depth channels.

Fig. 7

(a) Resolution test of handle components prior to addition of volume hologram and endoscope probe relay. The smallest target available on the chart is group 9, element 3 with a size of 1.55  μm/lp (645.08  lp/mm). (b) Surface channel focus, (c) depth channel (Δ=50  μm) focus [both (b) and (c) show 4.4  μm or better resolution with the hologram and endoscope probe added].

JBO_22_5_056010_f007.png

The resolution limit was quantified by evaluating the contrast of features in the 1951 USAF resolution chart. Targets with a contrast C=ImaxIminImax+Imin10% are considered to be resolvable. The values calculated for the resolution chart shown in Fig. 8 are taken from an average of vertical slices through each element of the horizontal line targets.

Fig. 8

Contrast calculations for the group 7 elements in the USAF resolution chart. The lowest contrast content seen in the chart is at 14%.

JBO_22_5_056010_f008.png

During evaluation of the images, it was noted that the FOV is not a flat plane. The left side of each channel provides a different focus than the right side of each channel. This effect is due to the chromatic focus of the GRIN probe and the wavelength mapping of the holographic element. The FOV width along the x-axis (x-FOV) gives both spatial and λ information. The total distance across the FOV in the x direction is 244  μm with a source spectral bandwidth of 30  nm. The total positive chromatic dispersion that was measured across the FOV in the x direction is equivalent to a focal shift of 50  μm. This shift appears to be a detriment in the case of a perfect planar target; however, when evaluating thick samples, the focal shift does not significantly affect image evaluation.

An assessment of tissue image quality is performed using relatively high contrast targets such as onion skin and biopsied human fat. Both samples allow for demonstration of imaging capabilities when scattering effects decrease the reflected light and decrease the contrast values. The images shown in Fig. 9 provide initial imaging capabilities of the endoscopic VHI system using onion skin and human fat samples. The system is designed to have a depth separation of 50  μm; for the samples provided, this depth separation is not large enough to see through an entire cell. The cell size of the onion skin is in the range of 150  μm in length, 75  μm in width, and 75  μm in depth.44,45

Fig. 9

Ex vivo imaging of organic samples such as (a) onion skin and (b) human fat using the endoscopic VHI.

JBO_22_5_056010_f009.png

Fig. 10

Contrast measurements of the (a) onion image and (b) human fat image.

JBO_22_5_056010_f010.png

The human adipose (fat) samples shown have a range of diameters from 50 to 100  μm.46 The lack of major changes between the surface and depth channels can be attributed to the depth separation being less than the cell thickness. The cell wall contrast values were calculated using a method similar to that of the resolution chart shown in Fig. 8. The results of the contrast measurements for the onion skin and human fat cells, in Fig. 10, show that the background to cell wall signal has contrast values ranging from, 26% to 72%.

Although high contrast tissues were able to be visualized using the endoscopic VHI system, low contrast tissue, such as ovary and fallopian tube specimens, provided fewer surface and depth details due to higher scattering and further reduced image contrast.

5.

Conclusions

A handheld endoscopic VHI system that is capable of simultaneous multidepth imaging was designed and fabricated. The total probe diameter is 3.8 mm and is capable of being used in a standard surgical trocar and withstands clinical sterilization for in vivo clinical procedures. The spatial resolution was measured at 2.2  μm features (228  lp/mm) using a USAF resolution chart and was designed for imaging the tissue surface and 50  μm below the surface. The FOV of each imaging channel is 390  μm×244  μm, which can be increased if necessary by changing the magnification or utilizing a larger camera aperture. This system operates in reflectance mode without contrast enhancing agents and is capable of imaging high contrast bar targets and organic features such as onion skin and human adipose tissue. Further improvement to the design, such as improved background rejection through wavelength coded methods, wavelength separation across the object field, and modification for operation in fluorescence mode to reduce background signal, are currently being investigated.

Disclosures

No conflicts of interest, financial or otherwise, are declared by the authors.

Acknowledgments

This work was supported by a grant from the National Institutes of Health (NIH) (No. R01Ca134424). The group would like to thank Dr. Ken Hatch for his expertise. Isela Howlett received support from the National Science Foundation Bridge to the Doctorate Fellowship, the UA-NASA Space Grant, and the Alfred P. Sloan Foundation (Sloan Foundation, Minority PhD program). The authors would like to acknowledge the help of Lam Optics in Tucson, Arizona, for their assistance with polishing the 0.8-mm-thick window pieces. Last, many thanks to Juan Russo and Tyler Tate for providing additional assistance in the areas of epoxy curing and Gaussian modeling.

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Biography

Isela D. Howlett is a graduate research associate at the University of Arizona in Tucson, Arizona, USA. Her academic background includes a BS degree in optical sciences and engineering from the University of Arizona and an MS degree in electrical engineering from Colorado State University. She will be receiving her PhD in optical sciences in August 2017.

Wanglei Han is a PhD candidate in optical sciences at the University of Arizona, USA. His research interests include design, fabrication, and optimization of volume holographic imaging systems (VHIS) for biomedical applications.

Michael Gordon earned his BS in electrical engineering from the University of California, San Diego, and his MS in optical sciences from the University of Arizona. From 2011 to 2014 he worked as a graduate research assistant for Dr. Raymond Kostuk, researching holographic optical systems with applications in solar energy and medical imaging. He presently works as an R&D Optical Engineer at Alcon in Lake Forest, CA developing ophthalmic surgical products including endoscopes, stereo microscopes, and illumination systems.

Photini F. S. Rice holds an associate in applied science in medical technology and has American Society for Clinical Pathology certification. She worked for 13 years as a medical technologist and technical consultant in a clinical laboratory, including achieving Clinical Laboratory Improvement Amendments certification for the laboratory. Currently, she is a senior research specialist at the University of Arizona with 7 years of experience in cardiovascular research and the past 10 years in cancer imaging.

Jennifer K. Barton is a professor of biomedical engineering and interim director of the BIO5 Institute at the University of Arizona. Her research focuses on the development of miniature multimodality optical endoscopes for early detection of cancer, including instrumentation design, preclinical experiments, and translation to human pilot clinical studies.

Raymond K. Kostuk has a joint professor position with UA’s ECE Department and the College of Optical Sciences. He received a PhD in electrical engineering from Stanford University, in 1986. After completing his PhD, he spent a year at the IBM Research Center. His primary area of expertise is in holographic concepts, materials, and applications. He is a fellow of the Optical Society of America and SPIE.

© 2017 Society of Photo-Optical Instrumentation Engineers (SPIE) 1083-3668/2017/$25.00 © 2017 SPIE
Isela D. Howlett, Wanglei Han, Michael Gordon, Photini Rice, Jennifer K. Barton, and Raymond K. Kostuk "Volume holographic imaging endoscopic design and construction techniques," Journal of Biomedical Optics 22(5), 056010 (31 May 2017). https://doi.org/10.1117/1.JBO.22.5.056010
Received: 18 January 2017; Accepted: 11 May 2017; Published: 31 May 2017
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KEYWORDS
Holography

Imaging systems

Optical design

Endoscopy

Tissues

GRIN lenses

Laparoscopy

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